JUSTINA MARIE BLAKE

NORTH PLATTE, NE
NPI1215619861
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2023-08-03
Last Update Date2023-08-09
Business Address
JUSTINA MARIE BLAKE
820 RUSSIAN OLIVE RD
NORTH PLATTE, NE 69101-6827
Phone number: 308-520-4460
Mailing Address
JUSTINA MARIE BLAKE
6214 24TH AVE
BROOKLYN, NY 11204-3319
Phone number:
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